When a high-profile person dies by suicide, the "celebrity-suicide effect" can lead to a rise in copycat deaths.
Indiana's suicide rate increased 31 percent between 1999 and 2016.
High suicide rates have largely been associated with younger populations, but middle age suicides are beginning to rise throughout the country, a new report says.
Genevieve Weber, Hofstra University associate professor of counseling and mental health, agreed that a direct approach is best.
Experts say it's important to have a conversation if you're concerned about someone.
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Among those who committed suicide and who had known mental health conditions, 67.2% had a history of treatment for mental health or substance abuse conditions, and 54 percent were in treatment at the time of their suicide.
A Harvard study found gun availability is a risk factor when it comes to youth suicide. "We should also be learning what mental health is and what symptoms we can look for in ourselves as well as others".
"There are probably hundreds of suicides deaths by suicides that have happened this week that we don't know about", said Vanessa Enos, who is the behavioral program director at Community Health Network.
Suicide rates are higher in rural areas, with the gap between rates in urban and rural areas widening, with 2007 seeing the gap begin to widen more quickly, the CDC reports. It was lowest in the U.S. capital, Washington, with 6.9 suicides per 100,000 residents per year. Rates increased significantly among males in 34 states and females in 43 states. But in some states, the increases are staggering.
In 2016 alone, there were nearly 45,000 deaths from suicide.
If you are having thoughts of harming yourself or thinking about suicide, talk to someone who can help, such as a trusted loved one, your doctor, your licensed mental health professional if you already have one, or go to the nearest hospital emergency department. "So, when you put those things together, it can be hard to find help even when you want it", Trisha Kajimura, Mental Health America of Hawai'i Executive Director, said.